The Health Information National Trends Survey (HINTS)

Bradford W. Hesse, PhD Health Communication and Informatics Research Branch

Division of Cancer Control and Population Sciences

Background

Extraordinary Opportunity

Communication Supports Preemption Across Continuum

Prevention Detection Treatment SurvivorshipDiagnosis

Health Information National Trends Survey (HINTS)

�Computer-Assisted Telephone Interview �Random Digit Dial (RDD), with advance

letter and refusal conversion �National probability sample of general

adult population (18+). Can be used to generate national estimates.

�Surveillance vehicle: health information �Research vehicle: access to health

information ? health outcomes �Repeated cyclically to track trends

Survey Content

Screener Health Communication

Internet Users

Cancer Information Seekers

Cancer History

General Cancer

Knowledge

Cancer Related Behaviors

• Tobacco • Alcohol • Fruits/Veg. • Exercise • Height/Weight

Health Status

Demographics

• Colon • Prostate • Skin *

Men 45+

• Prostate • Skin * Men 35-44

• Skin * Men 18-34

•Colon •Breast •Cervical •Skin *

Women 45+

•Breast •Cervical •Skin*

Women 35-44

•Cervical •Skin* Women 18-34 •Note: Items on Skin Cancer were removed

after pretest to reduce respondent burden

Timeline: HINTS 1

FY 2002 FY 2003 ………….. Oct Nov Dec Jan Feb Mar Apr May Jun July Aug Sep

Development

Pretest

Wave 1

Wave 2

Data Prep

Delivery

Analysis

Incentive experiment

DCCPS

n = 173

n = 6369

Some Preliminary Results

On Typical Weekday, How Many Hours Do You Watch/Listen to TV/Radio

0%

10%

20%

30%

40%

50%

0 1 2 3 4 5 6 7 8 9+

Hours per Day

% R

esp

on

den

ts

TV

Radio

In Past 7 Days, How Many Days Did You Read Newspaper/Magazine?

0%

10%

20%

30%

40%

50%

0 1 2 3 4 5 6 7

Days per Week

% R

esp

on

den

ts

Newspaper

Magazines

Healthy People 2010 Objective 11-1: Increase Internet in Households

Data for Healthy People 2010 Objective 11-1 Internet Access: 1998

Baseline (Percent)

2000 Update

(Percent)

2001 Update

(Percent)

2003 HINTS

(Percent, 95 CI)

2010 Target

(Percent)

Internet in home 26 NA NA 86.8% of Online, or 54.8% of pop

80

Ever go online NA 42 51 63.1 (61.8-64.5)

80

* Source of baseline data: Department of Commerce, Computer and Internet Use Supplement to the Current Population Survey

1

2

3

4

TV Radio Newspapers Magazines Internet

Media Channels

Att

enti

on Male

Female

A Lot

Not at All

How Much Attention do You Pay to Health topics on….? (by Gender)

1

2

3

4

TV Radio Newspapers Magazines Internet

Media Channels

Att

enti

on Male

Female

A Lot

Not at All

1

2

3

4

TVRad

io

Newsp

apers

Magaz

ines

Intern

et

Media Channels

Att

enti

on < $25,000

$25,000 to < $50,000 > $50,000

A Lot

Not at All

How Much Attention do You Pay to Health topics on….? (by Income)

1

2

3

4

TV

Radio

Newsp

apers

Magaz

ines

Intern

et

Media Channels

Att

enti

on < $25,000

$25,000 to < $50,000 > $50,000

A Lot

Not at All

1

2

3

4

TVRad

io

Newsp

apers

Magaz

ines

Intern

et

Media Channels

Att

enti

on No HS diploma

HS diploma

Some college/ tech

College grad.

A Lot

Not at All

How Much Attention do You Pay to Health topics on….? (by Education)

1

2

3

4

TV

Radio

Newsp

apers

Magaz

ines

Intern

et

Media Channels

Att

enti

on No HS diploma

HS diploma

Some college/ tech

College grad.

A Lot

Not at All

1

2

3

4

TV Radio Newspapers Magazines Internet

Media Channels

Att

enti

on

18 to 34

35 to 64 65 +

A Lot

Not at All

How Much Attention do You Pay to Health topics on….? (by Age)

1

2

3

4

TV Radio Newspapers Magazines Internet

Media Channels

Att

enti

on

18 to 34

35 to 64 65 +

A Lot

Not at All

Healthy People 2010 Objective 11-6: Improve Provider Communication Skills

Data for Healthy People 2010 Objective 11-6 Patients reporting that doctors or

other health care providers always: Baseline 2000*

(Percent) HINTS 2003

(Percent, 95 CI) Target 2010

(Percent)

11-6a. Listen carefully to you 56 62.6 (60.9-64.4)

64

11-6b. Explain things in a way you could understand

58 62.7 (61.0-64.3)

65

11-6c. Show respect for what you had to say

58 71.7 (70.4-73.0)

65

11-6d. Spend enough time with you

45 54.6 (53.0-56.1)

52

* Source of baseline data: Medical Expenditure Panel Survey, AHRQ 2000

Where Would You Go for Cancer Information?

Other 4%

Print media 3%

Family 4%

Library 5%

Provider 50%

Internet 34%

Where Did You Go for Cancer Information?

Library 6%

Family 3%

Print media 27%

Internet 49%

Other 4%

Provider 11%

Trust Cancer Information from… (By Gender)

1

2

3

4

Doctor

Family/

friend

Newsp

apers

Magaz

ines

Radio

Telev

ision

Intern

et

Channels

Trus

t Male

Female

A Lot

Not at All

Trust Cancer Information from … (By Income)

1

2

3

4

Doctor

Family/

friend

Newsp

apers

Magaz

ines

Radio

Telev

ision

Intern

et

Channels

Trus

t

< $25,000

$25,000 to < $50,000

> $50,000

A Lot

Not at All

Trust Cancer Information from… (by Education)

1

2

3

4

Doctor

Family/

friend

Newsp

apers

Magaz

ines

Radio

Telev

ision

Intern

et

Channels

Trus

t

No HS diploma

HS diploma

Some college/ tech

College grad.

A Lot

Not at All

Trust Cancer Information from … (By Age)

1

2

3

4

Doctor

Family/

friend

Newsp

apers

Magazi

nes

Radio

Telev

ision

Intern

et

Channels

Trus

t 18 to 34

35 to 64

65 +

A Lot

Not at All

National Institutes of Health

The American Cancer Society

The Cancer Information Service

The National Cancer Institute

The 1-800-4CANCER hotline

The United States Center for Cancer PreventionResearch

0% 20% 40% 60% 80% 100%

% Respondents

Name Recognition

Everything Causes Cancer

11%

40%

31%

18%

Strongly Agree Somewhat Agree Somewhat Disagree

Strongly Disagree

6%

22%

36% 36%

Strongly Agree Somewhat Agree Somewhat Disagree

Strongly Disagree

Not Much People Can Do

36%

41%

15%

9%

Strongly Agree Somewhat Agree Somewhat Disagree

Strongly Disagree

Don’t Know Which Recommendations to Follow

Current Directions

Research Activities Underway

Timeline: Dissemination & HINTS 2

FY 2004 FY 2005 Oct-Dec Jan-Mar Apr-Jun Jul-Sep Oct-Dec Jan-Mar Apr-Jun Jul-Sep

Data Analysis

Data Release

Development

OMB Clearance

Data Collection

T-2 Trends Analyses

Dissemination

HINTS 1

HINTS 2

Public Release Feb. 17, 2004